Categories of Points

• Five Shu Points (Points become interactive here)

• Five Element Points
• Lower He Sea Points
• Xi Cleft Points
• Yuan Source Points
• Luo Connecting Points
• Back Shu Points
• Front Mu Points
• Hui Meeting Points
• Extraordinary Vessel Master Coupled Points
• Command Points
• Four Seas Points

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SHU means transporting. We can treat the entire body just with
the five transporting points. There is a connection between the
five transporting points, the body and the environment. The
sections of the channel between fingers/toes and elbows/knees is
superficial and is most directly influenced by climate and
external pathogenic factors. These points are related to the five
elements as well.

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In order to illustrate the nature of the Five Transporting Points,
the Chinese compared the section of a channel between the
fingers/toes and elbows/knees to a river, starting from a Well
point at the tips of the fingers or toes, getting gradually larger
and deeper and ending in a Sea point at the elbows or knees.
Thus from fingers/toes to elbows/knees there is a progression in
the size and depth of the channel: it is narrowest and most
superficial at the finger tips and tips of the toes.
These sections of the channels are more superficial than the rest
and this is one of the reasons for the importance of the points
lying along its path. The energetic action of the points situated
along this section of a channel is much more dynamic than other
points and this explains their frequent use in clinical practice.
One could conceivably practice acupuncture using only these
points.
The other implication of the fact that the section of the channel
between fingers/toes and elbows/knees is more superficial is that
this section represents the connection between the body and the
environment. It is the section of the channel that is influenced
most promptly and directly by climate and exterior pathogenic
factors. For this reason the points along this section of channel
are more directly related to the seasons and can be used
according to their cycle. For the same reason the points along
this section of channel are the points of entry of exterior
pathogenic factors such as Cold, Dampness and Wind.
At the fingertips and toes the energy changes polarity from Yin
to Yang or vice versa. Due to this change in polarity, the Qi of
the channel is more unstable and therefore more easily
influenced.

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The first point (Well Point) belongs to Wood in the Yin channels
and Metal in the Yang channels. This is important to remember
when treating from a five element stand point or when taking
any test on the categories of points. If you remember how many
points are on each meridian, remember the number of meridians
that start and end on the hand are 6, remember that the 3 yang
meridians of the hand start at the finger tips, remember that the
three yang meridians of the hand correspond to the hollow
organs (Small Intestine, Triple Warmer and Large Intestine),

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remember that the starting points then are numbered (SI-1,
TW-1 and LI-1), remember that the first point of the yang
meridians of the hands are related to the Metal element and the
last point of the yang meridians of the feet are related to the
Metal element, remember that the long Yang meridians start at
the head and end at the feet, remember that the long Yang
meridians are (Urinary Bladder, Gall Bladder and Stomach,
remember that the Urinary Bladder has 67 points, the Stomach
has 45 points and the Gall Bladder has 44 points. So UB67 is a
Metal point, St-45 is a Metal point and GB-44 is a Metal point.
We then just need to remember that Metal creates Water, Water
creates Wood, Wood creates Fire and Fire creates Earth. The
Earth point on the Yang meridians are always going to be at the
elbow or at the knees. So following in the order listed below we
would know that the Well points of the Yang meridians are
Metal so the next point from the finger tips to the elbow or knee
would be the Spring point which would belong to the Water
element. The Stream point will belong to the Wood element. The
River point will belong to the Fire element and the Sea point
will belong to the Earth element.

See if you can figure out this scheme on the Yin Shu Points.

The Five points are:

1. Well point at the tips of the fingers or toes.
2. Spring point is the second point of the five and in all cases the
second point along the channels.
3. Stream point is the third point of the five and in all cases it is
the third point along the channel except for the Gall Bladder
channel where it is the fourth.

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4. River point is the fourth point of the five, not always the
fourth point along the channel.
5. Sea point is the fifth point of the five and in all cases it is the
point at the elbows and knees.
Each of the Five Transporting points has a specific energetic
action within the channel dynamics, which explains the meaning
of these points names.
The Well is the point of departure of Qi. At this point the
channel is the most superficial and thinnest and the energy
changes polarity from Yin to Yang or vice versa. The energy is at
its most unstable state here, so that it can be easily and readily
influenced and changed. The energy at these points has an
outward movement, the energy of the channel tends to go
outwards in a centrifugal movement at these points.
Centrifugal= Moving away from the center
Centripetal= Moving toward a center
The Well points are used in acute conditions as the Well points
tend to be used to eliminate pathogenic factors quickly in acute
conditions.
Examples of use are:
LU-11 for fainting
P-9 for fainting and heat-stroke
SI-1 for loss of consciousness.
Sp-1 for convulsions
K-1 for loss of consciousness and infantile convulsions
LI-1 for loss of consciousness

At the Spring point the Qi of the channel is very powerful and

full of potential energy ready to manifest, like the swirling
movement of water in a mountain spring.

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The Spring points have a particularly strong action and are
generally used to eliminate pathogenic factor whether they are
interior or exterior and in particular to clear Heat.
The Spring points are used sparingly. The Spring points of the
feet are more powerful then the Spring points of the hands.
Those of the hands are chosen first to treat generally. If we want
a particularly strong effect we would choose the foot points.

At the Stream point the Qi of the channel pours through, it

swirls and the flow starts to be bigger and slightly deeper within
the channel. Here the flow of Qi is rapid and large enough to
carry other things with it hence its name transporting. At the
Spring points, on the one hand, exterior pathogenic factors can
be transported into the interior and penetrate deeper in the
channels.

Defensive Qi gathers at the River points. At the River points the

Qi of the channel is much bigger, wider and also deeper. The Qi
flows like a large current after coming a long distance from its
source. At the River points, exterior pathogenic factors are
deviated towards joints, bones and sinews.

At the Sea points the Qi of the channel is vast and deep; it

collects, comes together and joins the general circulation of the
body, like a large river flowing into the sea. Compared to the
Well points, the Sea points are much less dynamic and their
effect is less quick and dramatic. The Qi has an inward,
centripetal movement here as opposed to the outward,
centrifugal movement of the Well points.

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The Well points are used for irritability, mental restlessness and
anxiety. This applies to both Yin and Yang channels. Well points,
have a particularly strong effect on the mental state and quickly
change the mood. Examples of Well points used in this way are:

P-9 for irritability and insomnia

H-9 for mental disorders, anxiety and manic depression
SP-1 for hysteria and insomnia
St-45 for insomnia and mental confusion
K-1 for anxiety

Spring points are used for febrile diseases or to clear Heat.

Virtually all Spring points clear heat in their respective
channels.

Examples are:
H-8 and P-8 to clear Heart-Fire
Liv-2 to drain Liver-Fire
St-44 to clear Stomach-Heat
K-2 to clear Kidney Empty-Heat
Lu-10 to clear Lung-Heat or to dispel Wind-Heat

Stream points are used for Painful Obstruction Syndrome (Bi

Syndrome) especially from dampness.
This applies to Yang channels more then Yin channels.

River points are used for cough, asthma and upper respiratory
diseases. This applies more to Yin than Yang channels.

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Sea point are used for all stomach and intestinal diseases. This
applies mostly to Yang channels but also to Yin ones. Examples
are St-36 and GB 34 for intestinal problems.

The Yang channels of the arm are where the Upper Sea Points
are located and the Yang channels of the leg are where the
Lower Sea Points are located.
The Upper Sea Points (SI-8, LI-11, TB-10) are used mostly for
problems of the neck, shoulders and head.

The Lower Sea Points (St-39, ST-37 and Bl-39) are used mostly
for problems of the relevant organs (Small Intestine, Large
Intestine and Triple Burner.
The Five Transporting points are also used for preventive
seasonal treatments:
Well points in winter
Spring points in spring
Stream points in summer
River points in late summer
Sea points in autumn
The Five Transporting Points are also used according to their
Five Element character.

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These are the Well and Sea Points of the Cranial Limb

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 Well Points of the Caudal Limb

The Five Element Points

The Five Element points are also known as the Mother/Child
points. When we have an excess of an element we sedate the
Child point on that meridian. When we have a deficiency of an

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element we tonify the Mother point on that meridian. It is
important to remember that we do not treat the Mother/Child
point on some other meridian. We treat the Mother/Child point
on the meridian where the imbalance exists. In case of
Deficiency tonify the Mother, in case of Excess Drain the Child.
Click here for interactive point locations.

The figures below are using a Deficiency of the Wood element

or Liver and an Excess of The Wood element or Liver. This is
synonymous with an under active and over active Liver. We will
talk about how to diagnosis these patterns in the Etiology,
Pathology and Diagnosis class.

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13
When we chart the various imbalances in the body we should
use a shorthand charting technique. Examples are:
• Liv-
• Liv+
• GB-
• GB+
• UB-
• UB+
• Blood-
• Heat+
Using the two examples above for treatment of a Liver
Deficiency and a Liver Excess we would chart the treatment as
follows:
• +Liv8
• -Liv2
We put the treatment prescription + or - in front of the organ
abbreviation in our treatment plan. In the diagnosis we put the +
or - at the end of the abbreviation on our diagnosis chart.
Let’s look at the process of finding out which Mother/Child
points to use by the long method. Using the long method we
would not use the Mother/Child chart but will use the long form
rational to understand the Mother/Child points.
UB+ is the diagnosis. The Urinary Bladder being over active.
The UB belongs to the Water element. In cases of excess we
sedate the Child. The Child of Water is Wood because Water
creates Wood. So Water is the Mother of Wood. The Water point
on the UB meridian is UB-65. How do we know this. If we have
memorized the amount of points on the twelve meridians and we
know that the UB is Yang because it is hollow. We know that it

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starts on the head and ends on the lateral bed of the fifth
phalanges. We know that the UB has 67 points. We also know
that all Yang meridians of the leg have a starting point on the
head and an ending point on the nail beds of one of the
phalanges of the foot. We know that all Yang meridians start
with a Metal element point. Metal is the Mother of Water and
Water creates Wood. Wood is the Child of Water. So the third
point on the UB meridian counting backwards, 67 Metal, 66
Water, 65 Wood. UB-65 is the Child/Sedation point on the UB
meridian. How would we sedate this point? We would press into
the point deeply, move slowly, in a counter clockwise circle for
a short amount of time. See if you can figure out the Mother/
Tonification point on the UB using the same rational. We would
treat the tonification point by pressing on the surface, moving
rapidly in a clock wise circle for a long duration of time.

There is a correspondence between the Five Elements and

pathogenic factors as follows:
Wood corresponds to Wind
Fire to Heat or Fire
Earth to Dampness
Metal to Dryness
Water to Cold
So in accordance with this correspondence, the Five-Element
points can be used to expel the relevant pathogenic factors
(whether interior or exterior). The only exception is the Metal
point which is not used to eliminate Dryness. The application of
this correspondence between the Five Elements and pathogenic
factors is mostly used in Excess patterns to eliminate the
relevant pathogenic factor.

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The Yuan Source Points

Source points are in relationship with the Original Qi and

changes on the skin over the Source points indicate
abnormalities in the Yin organs function and can therefore be
used for diagnosis.
Source points are used to treat the Yin organs.
Ren-15 and Ren-6 are considered Source points for all of the Yin
and all of the Yang organs respectively.
The Yang Source points are mostly used in Excess patterns to
expel pathogenic factors. The Source points of the Yang organs
can also be used to tonify the relevant Yang organ.
In Yin channels, the Source points coincide with the Stream
points. In the Yang channels the Source point follows the Stream
point and is therefore the fourth point from the distal end of the
channel except for the Gall Bladder in which the Source point is
the fifth point.

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Connecting (Luo) Points

There are 16 Connecting (Luo) channels, one for each of the 12

main channels, one each of the Directing and Governing
Vessels, one Great Connecting Channel for the Spleen and one
Great Connecting Channel for the Stomach.
There are six ways of using the Connecting points:

1. In conjunction with the Source point of the primarily affected

channel to reinforce its action.
2. According to the Full-Empty symptomatology.
3. According to their range of action in terms of energetic layers.
4. For Qi stagnation and Blood stasis in the Connecting channels
area.
5. To drain or tonify the Connecting channels according to
manifestations on the skin.
6. According to their specific action, irrespective of there being
Connecting points.

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When a Source point is used to tonify a given channel or organ,
the Connecting point of its interiorly-exteriorly-related channel
can be used to strengthen the treatment. The Connecting point is
chosen as a secondary point to reinforce the action of the Source
point, chosen as the main point to treat the primarily affected
channel.
For example, in case of Lung-Qi deficiency we may choose to
use the Lung channel Source point LU-9 and reinforce its action
by using the Connecting point of its interiorly-exteriorly-related
channel LI-6. This is called the Guest-Host method, the Source
point being the Host and the Connecting point being the Guest.
The choice of points is chosen by the pathology of the Host
point of the diseased channel. The symptoms are as follows:

LU-9 and LI-6: for a feeling of oppression of the chest, hot

palms, cough, swelling of the throat, dry throat, sweating,
shoulder pain, pain in the breasts, expectoration of phlegm,
breathlessness.
LI-4 and LU-7: for toothaches, swollen gums, yellow eyes, dry
mouth, runny nose, epistaxis, swollen throat, shoulder pain.
SP-3 and ST-40: for stiff tongue, acid reflux, vomiting,
abdominal distention, feeling of heaviness, constipation,
weakness, swelling of the lower limbs.
ST-42 and SP-4: for abdominal distention and fullness, a feeling
of oppression of the chest, epistaxis, phlegm, foot pain, ankle
pain.
H-7 and SI-7: for heart pain, dry throat, thirst, yellow eyes, dry
mouth, hot palms, palpitations, vomiting of blood and fright.

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SI-4 and H-5: for stiff neck, swelling and pain of the throat,
shoulder pain, deafness, yellow eyes, pain of the lateral side of
the upper arms.

K-1 and BL-58: for dark complexion, absence of thirst, a desire

to lie down, decreased vision, a feeling of heat, backache,
weakness of lower limbs. shortness of breath, timidity.
BL-64 and K-4: eye pain, neck ache, pain from neck to back to
lower limbs, mania, epilepsy, opisthotonos, pain in the eyebrow
region, epistaxis, yellow eyes, contraction of tendons, prolapse
anus.
TB-4 and P-6: for tinnitus, deafness, swelling of the throat, dry
throat, swelling of the eyes, ear ache, sweating, pain between
scapulae, elbow pain, constipation, incontinence of urine,
retention of urine.
P-7 and TB-5: for contracture of palms, arm pain, inability to
extend arm, fullness of the chest, swelling of axilla, palpitations,
red face, yellow eyes, laughing and crying without reason,
mental restlessness, heart pain hot palms.
LIV-3 and GB-37: for abdominal distention and hypogastric
swelling in women, chest fullness, vomiting, hernia, urinary
retention or incontinence.
GB-40 and LIV-5: for dull complexion, headache, eye pain,
swelling of the neck, goiter, hypochondrial pain, swelling and
sweating of axilla

The use of the Connecting points by themselves is based on the

Full or Empty symptomatology of each Connecting channel.
This is the most important use of the Connecting channels and
points. Each channel has a Connecting area that is like a network

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of small channels in the superficial part of the body between the
main channels and the skin. The pathology of this area, and
therefore of the Connecting channels, consists primarily in
invasions of external pathogenic factors causing
tendinomuscular problems. Therefore the Connecting points are
extremely important points to affect the superficial areas of the
channels and particularly the joint, sinews, muscles and skin in
tendinomuscular problems.
For example, in case of tendinitis of the elbow along the Large
Intestine channel. the Connecting point LI-6 will affect the
Connecting channel area, that is, the sinews and muscles
situated between the main channels and the skin, which is
where the pathology of tendinitis is situated.
When they are used for channel problems, the Connecting points
are sometimes chosen on the opposite side to where the problem
is, on the same channel in acute cases and on the interiorly-
exteriorly related channel. For example, if there is an acute pain
in the right shoulder along the Large Intestine channel and some
local points on the Large Intestine channel on the right side,
LI-6 can be added on the left side to reinforce the treatment. In a
chronic case, LU-7 would be used on the left side.
The Connecting channels (and therefore points) are not used
only for superficial tendinomuscular problems. The Connecting
channels occupy the area between the main channels and the
skin, they are horizontal forming like a network of small
channels, and they cannot penetrate through the large joints as
do the main channels. This means that the Connecting channels
in this area are very prone to stagnation of Qi and stasis of
Blood. Indeed, it could be said that most symptoms of stagnation
in the body occur in the Connecting-channels area.

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For example, breast distention from Qi stagnation in women
occurs in the Connecting channels area of the breast, a myoma
(fibroid) in the Uterus is due to Blood stasis in the Blood
Connecting channels of the Uterus, a feeling of a lump in the
throat is due to Qi stagnation in the Connecting channels of the
throat and so on.
Therefore the Connecting points have a very important use in
moving Qi and Blood in the channels when they are affected by
Qi stagnation or Blood stasis.
When the Connecting channels are Full they can be seen and
when they are Empty they cannot be seen. This is due to the fact
that the Connecting channels are more superficial than the main
channels and branch out into the smaller branches of the
Superficial and Minute channels.
In Full patterns, the Connecting channels and their smaller
branches are congested and can therefore be see. A greenish
coloration suggests stagnation in these channels, a bluish color
indicates Cold, a reddish coloration suggests Heat, and a purple
color indicates Blood stasis.
The channel pathway ares should also be palpated and they can
feel cold or hot to the touch. This, together with the coloration,
indicates retention of Cold or Heat in the Connecting channels
and their branches, that is an Excess condition.
In Deficiency patterns, the Connecting channels and their
branches are void of Qi, so nothing can be observed outwardly
in terms of color, but in chronic severe cases a flaccidity of
muscles can be observed.
In Excess conditions of the Connecting channels the Connecting
point must be reduced, and in Deficiency conditions it must be
reinforced. In case of venous and capillary congestion

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manifesting with macules on a Connecting channel, these blood
vessels can be pricked and bled.

Back Shu (Transporting) Points

The importance of the Back Transporting points in treatment

cannot be overemphasized. They are particularly important for
the treatment of chronic diseases and , indeed, one may go so far
as to say that a chronic disease cannot be treated without using
these points at some time during the course of treatment.
The Back Transporting points affect the organs directly and are
therefore used in Interior diseases of the Yin or Yang organs.
This is a very important clinical aspect of these points. They act
in quite a different way to all the other points. When treating the
Internal Organs, other points work by stimulating the Qi of the
channel, which then flows along the channel like a wave,
eventually reaching the Internal Organs. When the Back Shu
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points are stimulated, Qi goes directly to the relevant organ and
not through an intermediary of its channel.
The Back Shu points can be used to treat either chronic or acute
conditions, but are more frequently used for chronic conditions.
The Back Shu points are Yang in nature are are especially used
to tonify Yang. However they can be used for Yin deficiency as
well.
Yin diseases move to the Yang (area); Yang diseases move to the
Yin (area). The Front Collecting (Mu) points are situated on the
Yin surface (and therefore treat Yang diseases); the Back Shu
points are situated on the Yang surface and therefore treat Yin
diseases.
Yin diseases can mean either diseases of the Yin organs or
diseases characterized by Cold. This would mean that the Back
Shu points would be used to tonify the Yin organs and to warm.
Conversely, Yang diseases can mean either diseases of the Yang
organs or diseases characterized by Heat. This would mean that
the Front Collecting points would be used to nourish Yin or to
clear Heat.
Another characteristic of these points is that they are used to
affect the sense organ associated with the corresponding organ.
For example Bl-18 is the Back Shu point for the Liver and can
be used for eye diseases.
In practice, the Shu points tend to produce a stronger effect than
the Front Collecting (Mu) points and are therefore very useful
when the patient feels very tired, exhausted or depressed. In
these cases, if the Stomach and Spleen are deficient for example,
the use of Bl-20 and Bl-21 will produce a strong tonifying
effect.

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The Back Transporting points can also be used for diagnostic
purposes as they become tender on pressure or even
spontaneously tender when the corresponding organ is diseased.
In addition to the Back Transporting points along the Bladder
channel, there are also six other points on the outer line of the
Bladder channel on the back that are particularly important.
With the exception of Bl-43, the other five points exert a special;
effect on the corresponding mental aspect of each of the five Yin
organs, that is, the Corporeal Soul (Po) of the Lungs, Mind
(Shen) of the Heart, Ethereal Soul (Hun) of the Liver, Intellect
(Yi) of the Spleen and Will Power (Zhi) of the Kidneys. These
points can therefore be used in emotional and psychological
problems of the relevant Yin organs. The actions of these points
is stronger if they are combined with the relevant Back
Transporting point of the corresponding Yin organ.

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Front Collecting (Mu) Points

The Front Collecting points are all located on the chest or

abdomen (with one exception). These points are where the
energy of the relevant organ collects or gathers.
These points are used both for diagnosis and treatment. They are
used in diagnosis because they become tender, either on pressure
or spontaneously, when their relevant organ becomes diseased.
From a diagnostic point of view, they are more important than
the Back Transporting points.
In treatment, they are used either to tonify the internal organs or
to expel pathogenic factors, often clearing Heat. The Front
Collecting points are Yin in character and are more often used in
acute diseases; however they can also be used in chronic ones.
The combination of Front Collecting points with the Back
Transporting points enhances the therapeutic results and
provides a particularly strong treatment. If the client is seen at
rather infrequent intervals (2 or more weeks), the combination of
Front Collecting points and Back Transporting points is effective
in providing more lasting therapeutic results. If the client is seen
at frequent intervals (twice a week or more). it is better to
alternate the use of the Front Collecting points with that of the
Back Transporting points in each treatment session.

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It should be noted that only three Front Collecting points are
located on the channel relevant to the corresponding organ:
LIV-14 for the Liver, GB-24 for the Gall Bladder, and LU-1 for
the Lungs. All the others are located on channels not
corresponding to their organs. It follows then that with the
exception of these three Mu points, the Front Collecting points
treat disorders of the Internal Organs but not those of their
respective channels. For example, Ren-4 will treat disorders of
the Small Intestine but not problems of the Small Intestine
channel.

Accumulation(Xi) Cleft Points

The Accumulation points are all located between the fingers/toes

and elbows/knees, with exception of ST-34, which is above the
knee. The term Xi means crevices and this refers to the fact that
the Accumulation points are located in crevices where the Qi of
the channels gathers, and concentrates to plunge deeper from the
superficial layers of the channel.

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They are points where the Qi of the channel gathers and are used
mostly in acute patterns, especially when there is pain. They are
therefore primarily indicated for channel problems and are
usually reduced, as they are mostly used for Excess patterns.
Another characteristic of these points is that they can be used to
stop bleeding, especially in acute cases and especially for the
Yin channels.
These four Accumulation points are for four of the extraordinary
vessels, that is, the Yang and Yin Stepping Vessels and the Yang
and Yin Linking Vessels. The Qi of the extraordinary vessels
accumulates at these points, which makes them particularly
powerful points to activate the Qi of these vessels. They can be
used in combination with the opening points of the extraordinary
vessels. For example, the point BL-59 is used for sciatica on the
lateral side of the leg in combination with BL-62. when there is
pronounced stiffness and inability to walk properly.

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Gathering/Meeting (Hui) Points

The Gathering (Hui) points are points that have special influence
on certain tissues, organs, energy or Blood. Various types of
energies or tissues gather or concentrate at these points.
The body has Four Seas and 12 water channels. The water
channels pour into the Seas of which there is one in the East, one
in the West, one in the North, and one in the South.
The symptoms and points of the Four Seas are as follows:

Excess: abdominal fullness.

Deficiency: hunger but no desire to eat.
Points: ST-30 (upper) and ST-36 (lower).
Excess: a feeling of fullness of the chest, breathlessness, red
face.
Deficiency: shortness of breath, no desire to speak.
Points: Ren-17, Du-15, Du-14, ST-9.

Excess: a feeling of body getting larger, feeling unwell without

being able to pinpoint the problem.
Deficiency: a feeling of the body getting smaller, inability to
pinpoint the trouble.
Points: BL-11 (upper), ST-37 and ST-39 (lower).

Excess: full of vigor, great physical strength.

Deficiency: dizziness tinnitus, weak legs, blurred vision a desire
to lie down.
Points: Du-20, (upper), Du-16 (lower).

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Command Points
The Five Command points are those points that have the
strongest and most general influence on a specific area.

Four Seas

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